<div class="radio-group-inline ">
<p class="radio-inline">
<input type="radio" name="income" value="income-month" id="income-month">
<label class="radio-inline_label" for="income-month">per month</label>
</p>
<p class="radio-inline">
<input type="radio" name="income" value="income-year" id="income-year">
<label class="radio-inline_label" for="income-year">per year</label>
</p>
</div>
<div class="radio-group-inline {{ default classes "" }}">
{{#each items}}
<p class="radio-inline">
<input type="radio" name="{{../name}}" value="{{../name}}-{{value}}" id="{{../name}}-{{value}}">
<label class="radio-inline_label" for="{{../name}}-{{value}}">{{name}}</label>
</p>
{{else}}
{{#each inputs.income}}
<p class="radio-inline">
<input type="radio" name="income" value="income-{{value}}" id="income-{{value}}">
<label class="radio-inline_label" for="income-{{value}}">{{name}}</label>
</p>
{{/each}}
{{/each}}
</div>
{
"inputs": {
"homeless": [
{
"name": "I’m renting a room, apartment, or house.",
"note": "This includes living in a supportive housing unit or SRO that you pay for.",
"value": "rent"
},
{
"name": "I live in an apartment or house that I own or a member of my household owns.",
"value": "own"
},
{
"name": "I have somewhere to stay but it isn’t permanent.",
"note": "This includes couchsurfing, or living in a motel/hotel that you pay for. It also includes people who have recieved an eviction notice, are living in a medical facility, a substance use treatment facility, or a jail.",
"value": "temporary"
},
{
"name": "I’m homeless.",
"note": "This includes living outside, living in your car, staying in a shelter or motel/hotel that is paid for by an emergency voucher.",
"value": "homeless"
}
],
"contacts": [
{
"name": "Family member",
"value": "family"
},
{
"name": "Friend",
"value": "friend"
},
{
"name": "Social worker or housing counselor",
"value": "social"
},
{
"name": "I don’t have an alternate contact",
"value": "not"
}
],
"income": [
{
"name": "per month",
"value": "month"
},
{
"name": "per year",
"value": "year"
}
],
"yesno": [
{
"name": "Yes",
"value": "yes"
},
{
"name": "No",
"value": "no"
}
]
}
}
There are no notes for this item.